APEA Women's Health and Reproductive Medicine 3

Question 1

According to current USPSTF guidelines, what is the recommended cervical cancer screening interval for a 32-year-old woman with a history of normal Pap smears who has never had an abnormal result?

Accepted Answer

Pap smear every 3 years OR co-testing (Pap + HPV) every 5 years

Answer

For women aged 30–65, current guidelines recommend either cytology alone every 3 years, primary HPV testing every 5 years, or co-testing every 5 years as equivalent acceptable strategies.

Question 2

A pregnant woman at 28 weeks gestation is being evaluated for gestational diabetes. What is the standard initial screening test used in the United States?

Accepted Answer

1-hour 50 g non-fasting glucose challenge test

Answer

The standard U.S. two-step approach uses a 1-hour 50 g non-fasting glucose challenge test (GCT) for initial screening, with a positive result (typically ≥130–140 mg/dL) followed by a 3-hour 100 g OGTT for diagnosis.

Question 3

The Rotterdam criteria require at least 2 of 3 features to diagnose polycystic ovary syndrome. Which combination best reflects these diagnostic criteria?

Accepted Answer

Oligo- or anovulation, clinical or biochemical hyperandrogenism, and polycystic ovarian morphology on ultrasound

Answer

The Rotterdam consensus criteria (2003) require 2 of 3 features: oligo/anovulation, hyperandrogenism (clinical or biochemical), and polycystic ovarian morphology on ultrasound, after exclusion of other causes.

Question 4

What is the most common cause of secondary amenorrhea (absence of menses for >3 months) in a reproductive-age woman who previously had regular cycles?

Accepted Answer

Pregnancy

Answer

Pregnancy must always be the first diagnosis excluded in any woman of reproductive age presenting with secondary amenorrhea, as it is by far the most common cause.

Question 5

A 23-year-old woman is diagnosed with chlamydial cervicitis and treated with azithromycin 1 g orally. Regarding her sexual partner, what is the most appropriate recommendation?

Accepted Answer

The partner should be treated simultaneously with the patient

Answer

Expedited partner therapy (EPT) is recommended for all sexual partners within the past 60 days; simultaneous treatment prevents reinfection and interrupts community transmission of chlamydia.

APEA - Advanced Practice Education Associates Practice Test

APEA - Advanced Practice Education Associates Practice Test

APEA Women's Health and Reproductive Medicine 3